California State Board of Optometry
Licensing details for: 5530
Name: HURBACE, LYNN BERNICE
License Type: Registered Spectacle Lens Dispenser
Primary Status: Cancelled

Address of Record
9690 GAVERN LANE
SACRAMENTO CA 95829
SACRAMENTO county
Map
License Relationships
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: COSTCO WHOLESALE #765
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6899 Primary Status: Current
Address :
1800 CAVITT CT
FOLSOM CA 95630
SACRAMENTO COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: Costco Wholesale #1274
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 70914 Primary Status: Current
Address :
7400 Elk Grove Blvd
ELK GROVE CA 95757-6299
SACRAMENTO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Contact Lens Dispenser
Name: HURBACE, LYNN BERNICE
License/Registration Type: Registered Contact Lens Dispenser
License Number: 1628 Primary Status: Cancelled
Address :
9690 GAVERN LANE
SACRAMENTO CA 95829
SACRAMENTO COUNTY



